We introduce a framework for distributed quantum inference under communication constraints. In our model, $m$ distributed nodes each receive one copy of an unknown $d$-dimensional quantum state $ρ$, before communicating via a constrained one-way communication channel with a central node, which aims to infer some property of $ρ$. This framework generalizes the classical distributed inference framework introduced by Acharya, Canonne, and Tyagi [COLT2019], by allowing quantum resources such as quantum communication and shared entanglement. Within this setting, we focus on the fundamental problem of quantum state certification: Given a complete description of some state $σ$, decide whether $ρ=σ$ or $\|ρ-σ\|_1\geq ε$. Additionally, we focus on the case of limited quantum communication between distributed nodes and the central node. We show that when each communication channel is limited to only $n_q\leq \log d$ qubits, then the sample complexity of distributed state certification is $\mathcal{O}(\frac{d^2}{2^{n_q}ε^2})$ when public randomness is available to all nodes. Moreover, under the assumption that the channels used by the distributed nodes are mixedness-preserving, we prove a matching lower bound. We further demonstrate that shared randomness is necessary to achieve the above complexity, by proving an $Ω(\frac{d^3}{4^{n_q} ε^2})$ lower bound in the private-coin setting under the same assumption as above. Our lower bounds leverage a recently introduced quantum analogue of the celebrated Ingster-Suslina method and generalize arguments from the classical setting. Together, our work provides the first characterization of distributed quantum state certification in the regime of limited quantum communication and establishes a general framework for distributed quantum inference with communication constraints.